Protocol summary

Study aim
Evaluation of the degree of dysmenorrhea of patients with endometriosis before and after treatment with sildenafil compared to placebo; Excessive Intake of analgesia in Endometriosis Dysmenorrhea treated with Sildenafil compared to placebo
Design
Pragmatic, community based, parallel group, double blind, randomized controlled trial.The study population of 40 patients suffering from endometriosis disorder is classified into two groups according to the Randomization table.
Settings and conduct
The setting is Arash Women's Hospital . Oral sildenafil at the dose of 100mg and placebo are given to the patients of two groups daily in the first three days of the cycle, and the degree of change in pain is compared between two groups. To hide the random allocation process, 40 cards containing the name of treatments will be prepared. Then the cards will be placed inside sealed envelopes and the methodologist will give the drug to the patients accordingly. Surgeon, patient, person who assesses the consequences and analyzer the data are blind to the treatment provided to each patient.
Participants/Inclusion and exclusion criteria
Inclusion criteria: patients with moderate to severe endometriosis dysmenorrhea. Exclusion criteria: people who take Nitrogelycerin or any hormonal therapy, people with high or low blood pressure, PID, ovarian cyst, non-cyclic pelvic pain, malignancy, acute coronary syndrom and acute ocular problem
Intervention groups
Intervention group: oral sildenafil 100mg was administered daily from the first day to the third day of the menstrual period. Control group: Placebo was administered in this group.
Main outcome variables
Primary outcome: The dysmenorrhea change rate Secondary outcome: The amount of pain killer use during the study

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20140227016765N5
Registration date: 2018-10-26, 1397/08/04
Registration timing: registered_while_recruiting

Last update: 2018-10-26, 1397/08/04
Update count: 0
Registration date
2018-10-26, 1397/08/04
Registrant information
Name
Zahra Tavoli
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 7771 5342
Email address
ztavoli@sina.tums.ac.ir
Recruitment status
Recruitment complete
Funding source
Tehran university of medical science.international campus
Expected recruitment start date
2018-06-22, 1397/04/01
Expected recruitment end date
2019-06-22, 1398/04/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Evaluation of sildenafil on dysmenorhea in patients with endometriosis compared to placebo
Public title
Effect of Sildenafil on Endometriosis dysmenorrhea
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
patients with moderate to severe endometriosis suffer from dysmenorrhea, They are between 18 and 45 years old They were diagnosed with ultrasound
Exclusion criteria:
People who take nitroglicerine during study People who have used any hormonal medication People with hepatorenal disease People with pelvic pain non relevant to menstural cycle People with pervious MI or CVA People with abnormal blood pressure People with PID People with malignancies People with acute eye problem
Age
From 18 years old to 45 years old
Gender
Female
Phase
3
Groups that have been masked
  • Participant
  • Care provider
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 40
Randomization (investigator's opinion)
Randomized
Randomization description
The random allocation list for patients is solely available to the epidemiologist. To hide the random allocation process, 40 card sequences of the treatments will be written accordingly, and then the cards will be placed inside sealed envelopes. On each packet, 10-digit code is written randomly and without any order .This is the patient identification number that only the methodologist will be aware of. When the surgeon announces the eligibility of a patient, the methodologist will provide the surgeon with one of the packets.
Blinding (investigator's opinion)
Double blinded
Blinding description
The surgeon and the patients shouldn't be aware of the type and treatment process they are seeking. Also, the person evaluating the outcomes is the third person who is unaware of the random allocation process and type of treatment. To analyze the data, a statistician who is separate from the study process and is unaware of all the processes will be used.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of School of Medicine; Tehran University of Medical Sciences
Street address
School of Medicine- Tehran University of Medical Sciences- 16 Azar St- Keshavarz Blvd-Tehran
City
Tehran
Province
Tehran
Postal code
1417653761
Approval date
2018-04-22, 1397/02/02
Ethics committee reference number
IR.TUMS.MEDICINE.REC.1397.064

Health conditions studied

1

Description of health condition studied
endometriosis
ICD-10 code
N80
ICD-10 code description
endometriosis

Primary outcomes

1

Description
pain
Timepoint
Before and 1, 2 and 3 hours after the intervention
Method of measurement
VAS questionnaire

Secondary outcomes

1

Description
The amount of pain-relieving use during the study
Timepoint
At the end of the study
Method of measurement
questionnaire

Intervention groups

1

Description
Intervention group: using daily sildenafil, 100 mg tablet, during 3 days of menstrual cycle
Category
Treatment - Drugs

2

Description
Control group: using daily placebo tablet, similar to sildenafil, during 3 days of menstrual cycle
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Women's Arash hospital
Full name of responsible person
Zahra Tavoli
Street address
No.116, 162 alley. Baghdarnia St, Farjam St, Bagheri highway,Tehranpars
City
Tehran
Province
Tehran
Postal code
16539156691
Phone
+98 21 7771 5342
Email
ztavoli@tums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Mohammad Ali Sahraeian
Street address
Tehran University of Medical Sciences -Ghods street-Keshavarz blvd-Tehran -Iran
City
Tehran
Province
Tehran
Postal code
1417653761
Phone
+98 21 8163 3698
Email
tumspr@tums.ac.ir
Grant name
First published ISI article grant
Grant code / Reference number
96-03-30-35290
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Tehran University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Tehran University of Medical Sciencers
Full name of responsible person
Zahra Tavoli
Position
Assistant professor
Latest degree
Subspecialist
Other areas of specialty/work
Gynecology and Obstetrics
Street address
No.116-West 162 avenue- Tehranpars - Tehran
City
Tehran
Province
Tehran
Postal code
1653915691
Phone
+98 21 7771 5342
Fax
Email
ztavoli@tums.ac.ir
Web page address

Person responsible for scientific inquiries

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Zahra Tavoli
Position
Assistant professor
Latest degree
Specialist
Other areas of specialty/work
Gynecology and Obstetrics
Street address
No 116- East 163- Tehranpars-Tehran
City
Tehran
Province
Tehran
Postal code
1653915691
Phone
+98 21 7771 9922
Fax
Email
ztavoli@tums.ac.ir
Web page address

Person responsible for updating data

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Zahra Tavoli
Position
Assistant professor
Latest degree
Specialist
Other areas of specialty/work
Gynecology and Obstetrics
Street address
No.116-West 162 avenue- Tehranpars
City
Tehran
Province
Tehran
Postal code
1653915691
Phone
+98 77715342
Fax
Email
ztavoli@tums.ac.ir
Web page address

Sharing plan

Deidentified Individual Participant Data Set (IPD)
No - There is not a plan to make this available
Justification/reason for indecision/not sharing IPD
There is no further information
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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